Exam: Comprehensive Nursing Review
The nurse calculates the body mass index of a patient at 31.8. What is the most
appropriate action of the nurse?
A. Refer the patient for behavioral interventions for weight loss.
B. Estimate body fat using tricep skinfold measurement.
C. Calculate the percent of change in weight since the last visit.
D. Calculate grams of fat that the patient consumed daily.
A man weighs 265 pounds and is 6 feet 4 inches tall. Based on these data, how
does the nurse classify his weight?
A. Overweight
B. Class I Obesity
C. Class II Obesity
D. Class III Obesity
An older woman is 5 feet 2 inches tall and weighs 100 pounds. To best
understand her dietary intake, which question is most appropriate?
A. Who prepares your meals on a daily basis?
B. What are your favorite foods?
C. How do you get to the grocery store each week?
D. What do you eat on a typical day?
Why does the nurse ask about medications taken as part of a nutritional
assessment?
A. Medications must be taken with food to avoid irritation to the gastrointestinal
system.
B. Actions of many drugs require adjustments to the diet.
C. The absorption and bioavailability of some medications are affected by food.
D. Some medications taste bad and may interfere with the appetite.
A patient reports "a lot" of unintentional weight loss over the past 4 months. The
nurse measures his height and weight (5 feet 11 inches, 170 pounds) and
determines that his body mass index is 22.7. Which action is most appropriate to
better evaluate his recent weight loss?
A. Calculate his desirable body weight.
, B. Ask, "What is your usual body weight?"
C. Record what he ate in the last 24 hours.
D. Determine his hip-to-waist ratio.
A patient had edema and redness of the skin surrounding the nail on his right
index finger. Which data elicited from his history best explains this condition?
A. He has a family history of fungal infections of the nails.
B. There has been a scabies outbreak among his family members.
C. He has a new full-time job as a dishwasher at a restaurant.
D. He recently had several warts removed from each of his hands.
When examining a 16-year-old male patient, the nurse notes multiple pustules
and comedones on the face. The nurse recognizes that increased activity of
which cells or glands produce these manifestations?
A. Epidermal cells
B. Eccrine glands
C. Apocrine glands
D. Sebaceous glands
A patient with darkly pigmented skin has been admitted to the hospital with
hepatitis. How does the nurse assess for jaundice in this patient?
A. Inspect the color of the sclera.
B. Inspect the genitalia for color.
C. Blanch the fingernails.
D. Jaundice cannot be assessed in patients with darkly pigmented skin.
A patient has multiple solid, red, raised lesions on her legs and groin that she
describes as "itchy insect bites." How does the nurse document these lesions?
A. Wheals
B. Bulla
C. Tumors
D. Plaques
The nurse observes multiple red circular lesions with central clearing that are
scattered all over the abdomen and thorax. How does the nurse document the
shape and pattern of these lesions?
A. Gyrate and linear.
B. Annular and generalized.
C. Iris and discrete.
D. Oval and clustered.
Which disorder is an example of vascular lesion?